MR. JUSTIN TARRANCE GIBSON


Address: 2222 Bancroft Way, University of California, Berkeley, Berkeley, CA 94720-4301
Phone: 2563379064

MR. JUSTIN TARRANCE GIBSON (NPI# 1922234525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922234525
Entity Type Individual
Full Name MR. JUSTIN TARRANCE GIBSON
Practice Address 2222 Bancroft Way
University of California, Berkeley
Berkeley
CA 94720-4301
Practice Telephone 2563379064
Mailing Telephone 2563379064
Enumeration Date 2009-06-09
Last Update Date 2009-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JUSTIN GIBSON

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1336747989 Justin Bruce Gibson Chiropractor 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 2020-10-15
1508408105 Justin Wade Gibson Counselor 309 Progress Dr, Burgaw, NC 28425-3280 2019-10-15
1649734997 Justin George Gibson Counselor 100 N 5th St, Hugo, OK 74743-4005 2019-01-30
1184155244 Justin Gibson Student in an Organized Health Care Education/Training Program 260 Stetson St, Suite 2200, Cincinnati, OH 45219-2498 2017-03-21
1588817415 Justin Travis Gibson Counselor 3375 Us Rt 60 E, Huntington, WV 25705-2837 2008-10-23

Office Location

Street Address 2222 BANCROFT WAY
UNIVERSITY OF CALIFORNIA, BERKELEY
City BERKELEY
State CA
Zip Code 94720-4301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821033309 Anna Ylva Bloxham Harte Internal Medicine 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 2006-06-18
1447869813 Zdravko Rozic Counselor 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-07-30
1518576107 Joshua Lee Counselor 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-07-29
1689283939 Jazmin Rodriguez-jordan Dietitian, Registered 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-07-23
1356976542 Melissa Lock Pharmacist 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-03-08
1508490566 Samuel Haile Melles Registered Nurse 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-02-28
1568096667 Camille Burkley Registered Nurse 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-02-27
1053942425 Xiaoxia Song Psychologist 2222 Bancroft Way, Berkeley, CA 94720-4301 2020-02-03
1427697457 Joni-jay Hayes Registered Nurse 2222 Bancroft Way, Berkeley, CA 94720-4301 2019-12-20
1275171175 Robert Pelletier Registered Nurse 2222 Bancroft Way, Berkeley, CA 94720-4301 2019-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609352798 Richard Phan Optometrist 200 Minor Ln, Berkeley, CA 94720 2018-07-12
1184082067 Carmen Lee Registered Nurse 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 2016-02-05
1922355148 Cynthia Medina Counselor 2222 Bancroft Way #4300, Berkeley, CA 94720 2012-08-07
1811199615 Ellen De Neef Physical Therapist 2222 Bancroft, Berkeley, CA 94720 2007-06-04
1427185529 Margaret Anne Fisher Nurse Practitioner 2222 Bancroft Ave, Berkeley, CA 94720 2007-02-27
1619049285 Vikki V. Yu Optometrist 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 2006-11-15
1801992755 Robert K Osborne Dds & Assoc Inc Dentist 1177 South Main St, North Canton, OH 94720 2006-09-16
1154949899 Thuy-trang Nguyen Optometrist 230 Minor Hall, Berkeley, CA 94720 2020-07-09
1619498656 Celia R Gong Optometrist 230 Minor Hall, Berkeley, CA 94720 2017-06-29
1790234680 Kelsey Lindquist Specialist/Technologist 185 Haas Pavilion, Berkeley, CA 94720 2016-10-03
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851905814 Adriana Costa Student in an Organized Health Care Education/Training Program 1936 Berryman St Apt B, Berkeley, CA 94709-1911 2020-09-06
1548871437 Naomi Mae Wright Student in an Organized Health Care Education/Training Program 2461 Warring St Apt 211, Berkeley, CA 94704-2561 2020-08-13
1588291306 Jake Loitz Student in an Organized Health Care Education/Training Program 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 2020-03-23
1508417452 Yvette Rico Student in an Organized Health Care Education/Training Program 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 2019-09-23
1700443942 Heather Marie Schrag Student in an Organized Health Care Education/Training Program 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 2019-05-23
1720644388 Shafai Marriam Zarabi Student in an Organized Health Care Education/Training Program 1940 Parker St, Berkeley, CA 94704-3207 2019-05-18
1780152876 Isabel Unanue Student in an Organized Health Care Education/Training Program 1936 University Ave, Berkeley, CA 94704-1054 2018-11-06
1669957684 Elizabeth Blieden Student in an Organized Health Care Education/Training Program 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 2018-09-25
1740762178 Maryam Jabbari Amiri Student in an Organized Health Care Education/Training Program 3075 Adeline Street, Suite 120, Berkeley, CA 94703 2018-09-01
1972080158 Cecilia Winfield Student in an Organized Health Care Education/Training Program 1918 University Ave., Suite 2b, Berkeley, CA 94704 2018-07-20
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Competitor

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City BERKELEY
Zip Code 94720

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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